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HomeMy WebLinkAbout12-2125 (6) " - CITY OF DIAMOND BAR � 'i �� ~ � �--��— DEPARTMENT OF CONIMLJ1vITY&AEVELOPMENT SERVICF;S t 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)$39-7027 PRESS ����^'� BUILDING PERMIT APPLICATION FlRMLY o DDR'ESS� ��� �A�`��� �1\�\\ �"V' APPLICATION PERMIT ��' � r' PiC �a' DATE NUMBER Z�Z�7 # O��o`�S ^° APN LOT TRACT DA EE L 7�� CONST.� L+>���GROUP p OWNER o ADDRESS 4 Z. �� �L�I 1�� I�R'oU � ZONING SETBACKS --� FRONT RW ❑ OCITY �1�.l.1'4��':� I�j ZIP�S TEL. o APPLICANT � � TEL SIDE/SIDE STREET RW ❑ m CONTRACTOR ��� � �� C.�C� �UC Q SIDE ❑ ¢ ADDRESS��O� � �V'`Q ` �( n\ o C�7y.L�f� ZIP �%R1� TELr _ �,�,L�1'l� PROPOSED USE I�� e- C 4� �+� S �4 o n �� . ' �T y PP ��t+� ZDESIGNER �,�� n� ���or �r.�.-��. ��,r.a:��� . a ADDRESS NO.DWEL. NO. NO. UNfiS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION v� � OWNER-BUILDER DECLARATION SFR/ADO/REM O � o,�U.��o� �a - p I HER�Y AFFlRM UNDER PENN.TY OF PERIURY THA7 1 AM EXEMPT FROM THE CONTMCT00.5 LI- Garage/Carport W CETISEUWFOR7HEFOlLOWWOREtiSON(SEC.7m1.6BU51NE55AN�PROfE5S10N5CODEM7YCffYOR . _ ��� _ ZCDUHTYWHICNREOUIflESAPERM�TTOCONS7RUCT.Al7EA.0.1PRDyE.OEMOLISH.ORREPAIRANYSTAUG W PatidDeck � � """"lJ w TURE,PRIOR TD RS ISSUANCE.ALSO REW WES THE APPIICANT FOR SUCH VEiW1T TO FRE A SIGNED W ' � SUTEMENT TNAi HE OR 5HE LS LICENSED PUiiSVANT TO TN£CROVLSiONS OF THE CONiRACTORS U- � GENSE UW(LHAPTEA Y ICOMMENCW6 WITM SECTIO7!l000)OF DMSION]OF T1E BUSWESS AND PP6 � POOUSPB �: � � � � �.�...� .��1p.: . fE55qNS COD�OR 7HAT HE Ofl SHE IS EXFIAPT 7NEREFROM AND THE BA515 FOR iHE ALLEdED E%EMV• � 71pry,ANYYpLATIONOFSECT10N7o�1.5BYANYAPPIJCAHiFOHAPERMITSU&IECTSTHEAVPUCANTTO Z RB-ROOI � ��O � P .D � � ACNtLPENALTYOFNOTMORETWWFNEHUNOREDDoILMs(f5ao).k I � � plA50WNEROFTNEGiiOFEHTY.ORMYENPLOYEESWfTHY/AGESASTHEIRSOIECOMPQlSATK1N, � CpnmBfClal � n �- p� o'O Z YALL DO 7HE NK]WC�NO 7HE STRULTURE L4 NOT IMENOED OR OFFEAED FOR 9�LE(SEC.70N,BUSF J NESS ANO PROFESSIONS CO�E THE CONTfUCTORs�fCEHSE LAw OOES NO7 AVPIY TO Ml OVMER OF � PHOPERIVMAI�BU1L0.40RIMPf10VESTiEREON,ANDWVlOWE55VqiWOR%HUISELFORHERSELFOR m [L iHfiOUCH HIS OR HER OWN EMPLOYEES,VROVIDED THAT SUC11 UAVROVEMENTSARE NOT DITENDED OH � w OFFEAmPoRSALEIF,HOYYEVEq7HE8U0.0WCOHUA7ROVEMEHil550LDWfTMWONEYEAROfCOMR.E• � TqN,THE OWt1ER-BU1lDER VALL HAVE THE OUFDEN OF 7ROVP1�THAT NE Ofi SHE D�D NOT BUILD OR , ' Z IMPHOVE FOR TlfE PURPOSE Of S�LE�. � _ ❑I,�ASOWNEHOFTHEPqOPEATV,M1IXClU51VELYfANTRACTW6NrtIHLIGENSE�COMiRAGTOflS � TO CANSTRVCT TME PFiOJECT(SEG 7oN,BUSINESS AND FROFESSIONS CODE 7HE COMMCTOHS LL V8I118�IOf1 ADJ.AREA � W �EKSEUWbOESNOTAYVLYTOANOWNEROFA�ROPEATYWHOBU0.D30qIMVROVE9THEREON,AND � WNOCOHTMCTSFOPSUCHPR0.1EC75WIMACOtl�MCTOR(5)l10EN5EOPURSUIMTOTHECONTiUG QU�.JT�7y DESCAlPT10N FEE � � TO0.:IJCENSE LAW.} � J � O��E%ENVT uNDER SEC. B.8 V.C.FOA 7HIS REASON U � � � DATE _ OWNER r Z U W �¢ LICENSED CONTRACTORS DECLAAATION �j 2 1 HEAE61'AFFlRM UNDER PENALTY OF PERIURY TNAT IAM IICENSED UNDER PROVISIONS Of Ct1APTEA � � p� Y(COMMENCWO WITH SEC�ION 7000)OF OIVISION]OF THE 81151NES5 M!D PROFESSIDNS OODE,A1JD Z X MY LICENSE�s w FUIL FORCE AND EFFEC7. 0 j.1 CENS C1ASS � UC.NO.�-��� �� � . j . 1--- Y� � V �DATE � ��— CONTRACTOR � � W " a� WORKERS'COMPENSATION DECLARATION � � = U � 1 HEREBY AFFIRId UNDER PNUITY OF PER1UqY ONE OF TNE fOLLOWINO DECLAAATIONS: C/) Z Q 0 I HAVE AND WILL MAIN7AY'7 A CERTFlCA7E Oi CONSEM TO SELFaNSURE FOR WOW(ER5 2 C0IIPENSA710N,AS VROVIDED BY SECTION J7000F Tf1E LAflOR COD�FOA THE PEAFORM�NCf W OF TFIE WORK FOFi WHICFI THI9 PERMIT IS ISSUEA. � ' � � � 1 HAVE ANO WILL�.WNiAW M�ORKEf44'OOM7EN9ATION INSUN�NCE�S REIXIIRED BY SECTION 1— QO 7�00 oF THE LABOR CODE.FOR THE PERGORMnNGE OF THE Wowt PoR wH101 T11I5 PERw715 \ �.�+ ISSUEO.M�RKEA.4 COYGENSATION INSURAN CARi11ER AW POIICY MIMBER ARE: CONSTRUCT7ON � � .. � � �„�, �c e, a �� �� PUW REVIEW ��acA a9 � Z voucr r+un+BER t �,� ELECTRIC cC � (IH65ECT/7NNEIDNOTBECp.REf�OFTHEPE37Mf6FOqONEHN�ORFD00LL/SSIS�m�0i1165� PLUMBING .� w MECHANICAI Z I CEPTIFY THAT IN THE PERFORMnNCE OF 7HE WORK FOR Wwtll THIS PERAIR l5 ISSUED,I (� SHAI1 NOi DdPlOY INY 9EiiSON W f1�7'/MANNER 50 AS TO BECOME SU&lEC7 TO iY1E � WORKERS'COMPENSATION UN5 OF CALIFORN11 ANO AGREE hUT IF I SNOUtD BEC0IJE INSPECTION FEE SUBJECT TO THE WORI(ERS COMVEHSATION PfiOV1510NS OF SECTpN 97o00F THE UEOii' - � � covE�sruu wRrHmn�caJVLr w�n+nwsE PRovis�oNs. ISSUANCE �J p DATE ���'�a APPLtCANf: �..����_ �SMIP � + � w ENERGY P/C � WAANW6:FAIIURE TO SECLRE WONCER^COMPENSATION CAVEMGE IS UNLpWFUL,AND 9HILL BE �y SU6IECT AN FJaYLOYER TO CRIMWN_7ENI�LTIES ANO CML FlNES VP TOONE HUIIDRED TiOUiANO �ryERGY PEAMIT - DOLLIAg(5700.00a�W ADDITON TO iHE COST OF COMPENSATpN,DM.IAGES AS PRO�IDED FOR M J 3ECTION�7a6 QF h1E LABOR CODE NIfEREST,ANO ATTOANEY'3 FEES. ' RETENTION FEE: Q d CONSTRUCTION LENOING AGENCY pFiE•pl,T FEE CL 1 HEREHY AFFlRM UN�EP PENPL7Y OF PERNqY THAT 7HERE�5 ACANSTRUCTION LENDPI6 AGENCY (,/�J__ - dZ fOR THE PEHfORAUNCE OF 7H£WOPof FOR VR4ip1 tYUS PERWT IS ISSUED(SEG 1oW,CN.C.�. ��i . W � LENOER'S NM1E ' � LENOER'SAODRE55 p� � ICERTIFYTHATIIUVEREMTH�9MFL1CATlONANOSTATETUTTHEABWEWFORMA110N19CORRECT. TOTAL FEES ��'� aQ ��o�p � I A(3AEE TO COM➢LY N7TH ALL CfTY AND COUNTY ORD WANCES AND STATE lAW3 REUTPIO TO BU7.D�N0 � CONSTFUCTION,AND HEREBY WTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UVON 7HE Z ABOYE�MENflONEO PROPERTY fOH WSPEC�IDN PURPOSE9. COMMENTS � �`����ae� �.as ��`�a � vEw.ime¢wwe( \ a `�.._��`�"�� � ��-_���— 1�-- 'PIG t�'"1 1 � ' � SIpNATUqE pF p E OATE RECPT.NO. PAID BY V{WDATION � � � VYFiRE—DepaNnent Copy.YELLOW--Finance Copy.PtNK—Assessor Copy.GOLDENfaOD—File Cop�+,GR ApplicanYs Copy � �;a'��° �� �����,�"�e��,�l� ���=� � ' ` � ���a���.;6 i��'�� ������ l�T.%I` '"�t,:_ �f'^ire� q,,,..,(r �`'� �'"�"�'�`� R„ ,.'�'��'¢""x- ,�;r,�. �. ,�"+"'�'v,,�?yE��., .,,. y�P' 3"Y.y - - "� ';� +a� r�l d t � � '� f '�� .r`�1 i�'�'� �t� �'��'�f n '� (�2�':k{i�i'} �A '��3.��. :��..�`-s.� � „y .a-x'°. . ,tr, .. -` _ . ;q3�« ` ,i- 1 �i I ��i q y�c. l� �.''� � �� +� C j+��'' � nv- �,���?1 t�� �,. l�,€x y��, � �� 3 5,2.�=�_ �"'k��c � (�F �.6�D... � r�' ,u :.v�:�,�r-�'�,� .�-� .�t^ '*�:�:J'' T. � ,r� .c` —. `.�,.�._,_� s��L.._� �.���s.. �•5�:�.i;...��.,��r5r,. _`3i�.``��"........^�ri..�_J..�..��L."�'"-�i.y.�- � � ��5i� - - .,: . ,,- ——' � ,. r. �ET BACK i � �r-LOOR JGIST - ------------- ----------- —---- -------- ------- ---- .--- -- ---- ---- -- - FTG�;`FORi�1',;�TEEL ._.._ 1----- -- � FHA FEQte1T� ---- -- -- -- __ __------------ -- FLE��I�(?IC GROU��dO � , t)PdDER FLOOR DUCT- -----i ------ - --- - -r------------- GR01)i•!D FUJPv181�di� � � UNDER FLOOF COPJDUIT SLAB GF�1UE � I— FIREPLAC[FOU��lDATIUhJ � �ENiP PObVER � -- -- �FIRE�LACE 80�•.D EEaM VtJATER�ERVICE �h�11D HT.BO��lD BEANt ROOF SHEATHIt�JG �3 F-f.BOfdD BEANi FRAiVIING/VEMTILAJIO�! _ i�(,� _ �FINAL BOND BEANI_ ___ _ ROOF COVER PRE-GRADI�IG ______ ROUGH HEATING____ � _ BEfJCI-�ING ___ _ _ _ _,__ ROUGH ELECTRIC i (� ROUGII GRADING POUGH PLUP�1aI�JG�'.`� ' FINISH GRADING SHO�P�/ER/TUa TEST'" � ` " ` � P�OL ELECTP,IC EiCT.LATH/SIDING`t �� �` � POOL FE�JCING �NALL INSULATIOM',',�� ,,� " l � ( � POOL FIrJAL CEILI�dG I�dSULATION � � �J` CFF SITE IMFS. GRYU�/ALL NAILING__ _ _ � � _ _ _ DEDICA.TIONS__ _ _� SE41/ER FINAL ENG. SEP7ICTA�dK LA,NDSCAPE/IRRIG J J ----------- --- -- --- -- SEEP PIT/L.L. ON SITE IMPS. rA;AIRTEST FINAL ZONIN� FINAL CaNST. Z FIRE DEPT.FIPJAL FINAL HEATING HEALTH DEPT.FINAL FIiJf\L ELECTRIC � 'LZ+ I DEV.FEES PAID FINP,L PLUNIBING ENERGY FINaLPLANING--------_I -- _ --- ---- -- --- -- — FINA,L ENGINEERING � ° � � COMMENTS __---_�� -C��--_- —.— — — SEPTICTANK 51ZE SEEP PIT/U SIZE � � . , �:o`�� �� [���Allt�i�� ��� , , B�E�����'lC��� F3E��3�[� �'y'���'��y`���� l h' �1 t�b l4G�y�"��.����� �ct� �U,_ � � y s � � ° � � '.r�L.��:.�:_.�t..rvai�.'=�:�«�,�3..=s:?.".:.. � .S, 2.s �E7 BACN. � ' • "rL00a JQ1ST . . - � ----------- -- --...__-------- --�----------------- - -�----------- ---------- --- - FTGS;FOkiVlS;STEEL � FHA FEOfNTS ----- ---- .- -- ------ ----- ----------- ---�----.. �.----- -- --------- ---------- ----- �LKTRIC GI?OU�JQ tJNDEP,F100R OUCT GROUP.lD FLUPv161NGA---___. ._..._..�.-.--�------------ — I UNDER F100R CONDUIT SLA9 GRFlDE ' �. _ FIREPLACE FOU��DATIOPd "fENiP PObVEP, FIREPLACE BOtJD BEAM ��!ATER�EFVICE MID HT.BOPJD REAM HOOF SHEATHI�dG 8 FT.BOND BEAM FRAMIhiG/VEP•ITILATI0�1 _ _ ��,� _, ___ FINAL 60�lD BEAfvI_ __ _ ROOF COVER PRE-GRADING ROUGN HEATING ^ • BENCi-IING � ROUGH ELECTRIC � ( � ROUGii GRADING P,OUGH PCUfv1E31fJG " FIN15H GRADING SHOb��ER/TUB TEST POOL ELECTRIC EXT.LATHlSIDING� � ' ' � POOL FENCING �rVALL INSULATI0�1 ' l � ( POOL FINAL CEILI�JG INSUCATION OFF SITE IMPS. GRYV�/ALL NAILING � DEDICATIONS SENIER -- ----�- - - ------ — FINAL ENG-•— - — - �� SEP11C TANK V LANDSCAPE/IRRIG.V SEEP PITiL.L. ----.�— - ---- ON 51TE IMPS: --' -- GAS AIRTEST FINAL ZONING FINAL CONST. FIRE DEPT.F1PdAL FINAL HEATING � HEALTH DEPT.FINAL FINf\L ELECTRIC � 'LZ+ ( DEV.FEES PAID FINAL PLUMDING - ENERGY FINAL PLANING FINAL ENGINEERI�JG __ ��__ __ __ _�^ • g � � COMMENTS -----� �--- �_.._ ---- ----- - - -- � SEPTICTANKSIZE � ' ~ SEEP PIT/U SIZE --- —` -- — �� � .